Provider Demographics
NPI:1326203993
Name:COLLINS, REECHIA CHRISTINE
Entity Type:Individual
Prefix:MRS
First Name:REECHIA
Middle Name:CHRISTINE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 S HILLCREST COURT LN
Mailing Address - Street 2:
Mailing Address - City:MUSTANG
Mailing Address - State:OK
Mailing Address - Zip Code:73064-5530
Mailing Address - Country:US
Mailing Address - Phone:405-376-0511
Mailing Address - Fax:
Practice Address - Street 1:604 S HILLCREST COURT LN
Practice Address - Street 2:
Practice Address - City:MUSTANG
Practice Address - State:OK
Practice Address - Zip Code:73064-5530
Practice Address - Country:US
Practice Address - Phone:405-376-0511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
177F00000X177F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging